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L5-L6脊神经结扎后麻醉大鼠脊髓神经元反应特性的电生理特征

Electrophysiological characterization of spinal neuronal response properties in anaesthetized rats after ligation of spinal nerves L5-L6.

作者信息

Chapman V, Suzuki R, Dickenson A H

机构信息

Department of Pharmacology, University College London, Gower Street, London WC1E 6BT, UK.

出版信息

J Physiol. 1998 Mar 15;507 ( Pt 3)(Pt 3):881-94. doi: 10.1111/j.1469-7793.1998.881bs.x.

Abstract
  1. Despite a number of models of nerve injury, few studies have examined how peripheral nerve injury influences spinal somatosensory processing. 2. Ligation of two (L5-L6) of the three spinal nerves that form the sciatic nerve produces a partial denervation of the hindlimb. Following ligation, rats exhibited withdrawal responses to normally innocuous punctate mechanical and cooling stimuli (acetone) applied to the lesioned hindpaw. Such mechanical and cooling allodynia was not observed in sham-operated rats. 3. A significantly greater proportion of spinal neurones of ligated rats exhibited spontaneous activity at post-operative (PO) days 7-10 (P = 0.03) and 14-17 (P = 0.0001), compared with sham controls. The frequency of the spontaneous activity was significantly higher than that of the sham controls (P = 0.03 and P = 0.02 for days 7-10 and days 14-17, respectively). 4. At the earlier PO period, significantly (P = 0.02) more neurones of spinal nerve-ligated (SNL) rats responded to brush compared with the sham controls; at the later PO period the proportion of neurones of SNL rats responsive to prod was significantly (P = 0.007) reduced compared with the sham controls. The magnitude of the evoked neuronal response of SNL rats at PO days 7-10 was comparable to that of the sham controls. The magnitudes of brush- and prod-evoked neuronal responses of SNL rats were significantly smaller (P = 0.05 and P = 0.002, respectively) than the sham controls at PO days 14-17. In addition, neuronal responses of SNL rats to mechanical punctate stimuli and the C fibre-evoked neuronal responses were significantly reduced at the later PO period, compared with sham controls. Abeta-fibre-induced wind-up was not observed under any conditions. 5. These complex changes in neuronal responses are both time and modality dependent. The plasticity of some of the neuronal and behavioural responses following nerve injury was difficult to reconcile. We suggest that an interplay between pathological peripheral and central mechanisms may account for some of the changes that could contribute to allodynia and hyperalgesia.
摘要
  1. 尽管存在多种神经损伤模型,但很少有研究探讨周围神经损伤如何影响脊髓体感处理。2. 构成坐骨神经的三条脊神经中的两条(L5-L6)结扎会导致后肢部分去神经支配。结扎后,大鼠对施加于受伤后爪的通常无害的点状机械刺激和冷刺激(丙酮)表现出退缩反应。在假手术大鼠中未观察到这种机械性和冷觉异常性疼痛。3. 与假手术对照组相比,结扎大鼠脊髓神经元在术后(PO)第7-10天(P = 0.03)和第14-17天(P = 0.0001)表现出自发性活动的比例显著更高。自发活动的频率显著高于假手术对照组(第7-10天和第14-17天分别为P = 0.03和P = 0.02)。4. 在较早的PO期,与假手术对照组相比,脊髓神经结扎(SNL)大鼠中有显著更多的神经元(P = 0.02)对轻刷有反应;在较晚的PO期,与假手术对照组相比,SNL大鼠中对戳刺有反应的神经元比例显著降低(P = 0.007)。SNL大鼠在PO第7-10天诱发的神经元反应幅度与假手术对照组相当。在PO第14-17天,SNL大鼠轻刷和戳刺诱发的神经元反应幅度显著小于假手术对照组(分别为P = 0.05和P = 0.002)。此外,与假手术对照组相比,SNL大鼠在较晚的PO期对机械点状刺激的神经元反应以及C纤维诱发的神经元反应显著降低。在任何条件下均未观察到Aβ纤维诱发的后放电。5. 神经元反应的这些复杂变化既依赖时间也依赖刺激方式。神经损伤后一些神经元和行为反应的可塑性难以解释。我们认为病理性外周和中枢机制之间的相互作用可能解释了一些可能导致异常性疼痛和痛觉过敏的变化。

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